Nurs-607: Advanced Physical Assessment FINAL
(Taught by: Penny Thomas-Fall 2022)
Pallor indicates
Anemia (Hemoglobin)
Cyanosis idicates
(Blue color) Decreased oxygen in the blood or decreased blood flow
(restriction, cold, ect.)
Jaundice indicates
(Yellowing of the skin) increased bilirubin which can arise from
breakdown of heme in the red blood cells.
Causes of generalized itching without apparent rash
Dry skin, pregnancy, uremia, jaundice, lymphomas/leukemia, drug
reactions, and polycythemia vera/thyroid disease.
Moisturizers replace
The lost moisture barrier
What is the most common cause of diffuse hair thinning?
Male and female pattern baldness
Hair loss/shedding at the ROOTS indicates:
Telogen effluvium and alopecia areata
Hair loss/shedding along the SHAFT indicates:
Damage from hair care OR tinea capitis
Macule
,A circumscribed flat area of change in color of the skin <1cm in
diameter (Freckles, flat moles, port-wine stains, rickettsial infections,
rubella, and measles)
Patch
A circumscribed flat area of change in color of the skin >1cm in
diameter.
Papule
A small, solid elevation of the skin <1cm in diameter (Nevi, warts,
lichen planus, insect bites, seborrheic keratoses, actinic keratoses, some
acne, and skin cancers)
Plaque
A large flatter elevation of the skin, sometimes formed by papules
(Lesions of psoriasis and granuloma annulare)
Nodule
A solid, round or oval elevated lesion 1 cm or more in diameter that
usually extends into the deeper skin layers (cysts, lipomas, and
fibromas)
Pustule
A small circumscribed elevation of the epidermis filled with purulent
fluid (bacterial infections and folliculitis).
Vesicle
A small circumscribed elevation of the epidermis containing clear fluid
<1cm in diameter (Herpes infections, acute allergic contact dermatitis,
and autoimmune blistering disorders like dermatitis herpetiformis)
Bulla
, A circumscribed elevation of the epidermis containing clear fluid >1cm
in diameter (Classic autoimmune bullous disease include pemphigus
vulgaris and bullous pemphigoid)
Wheal
A circumscribed raised lesion consisting of dermal edema and is also
known as "hives" or "urticaria" (These are often seen in hypersensitivity
to drugs, stings or bites, autoimmunity, and (less commonly) physical
stimuli including temperature, pressure, and sunlight)
Psoriasis is found:
Often located on the scalp, extensor surfaces of the elbows and knees,
umbilicus, and gluteal cleft.
Lichen is found:
Arises on the wrists, forearms, genitals, and lower legs.
Vitiligo is found:
In patchy, isolated portions of the distal extremities and face, particularly
around the eyes and mouth.
Discoid lupus erythematosus is found:
On the sun-exposed skin of the face (forehead, nose, and ear)
Hidradenitis suppurativa is found:
In the skin that contains a large amount of apocrine (sweat) glands
(Axillae, groin, and under the breasts)
What does ABCDE-EFG mean?
A-Asymmetry
B-Border
C-Color (Blue/Black)
D-Diamter (>6 mm)
E-Evolving